Facility Evaluation Report

On October 12, 2022 at 9:00am, Licensing Program Analyst (LPA) De Anna Williams-Lyons arrived announced to conducted a Pre-Licensing Inspection of the facility to ensure compliance with Title 22 regulations. LPA Lyons met with Cara Guevarra, Administrator, who assisted LPA in today’s inspection. The Administrator certificate expires 8/3/2023.

Prior to initiating the inspection LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; and completed a facility risk assessment. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: mask.

The current census is 0. The facilities Administrator’s Certificate, Emergency Disaster Plan, Resident’s Rights and Facility Sketch was available for viewing. The room temperature was 73 degrees F which is within range.

LPA inspected the interior and the exterior of the facility including the common living spaces, the kitchen, resident bedrooms and bathrooms. In the kitchen area, cabinets and drawers were reviewed. Knives and sharp objects were reviewed to make sure that they were locked and made inaccessible to the residents at all times. LPA observed there to be a sufficient amount of 2-day perishable and 7-day non-perishable food in the facility even though there are no residents currently. Hot water temperatures were taken and measured at 106 degrees F, which is within the allowed range of 105-120 degrees. There’s appropriate lighting throughout the facility.